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Oswego Health orthopedic team and Syracuse Orthopedic Specialists (SOS) are excited to announce a collaboration, which will bring SOS orthopedic surgeons to Oswego County to provide care.

The SOS staff will work alongside Oswego Health’s orthopedic team to provide office visits at the Oswego Health Services Center and perform surgical procedures in Oswego Hospital’s state-of-the-art surgery center.

We provide:


Hand & Upper Extremities

Oswego Health in collaboration with SOS will provide care that meets the standard of excellence in care for your hand and upper extremity needs.

Conditions treated include:

  • Arthroscopy of the elbow, wrist and finger
  • Carpal Tunnel Syndrome and other nerve compression injuries
  • Elbow, wrist and finger reconstruction and replacement
  • Minimally Invasive Surgery of the Upper Extremity
  • Sports injuries to the elbow, wrist and hand

Joint Replacement

In collaboration with SOS, Oswego Health provides a team of surgeons in total joint replacement. During the surgery, diseased or injured joint surfaces are removed and replaced with an artificial joint, or prosthesis, generally made from metal and plastic or ceramic materials designed to allow the artificial joint to move much like a normal joint.

Hip Replacement & Hip Replacement Surgery

  • Hip Replacement
  • Minimally Invasive Hip Replacement
  • Hip Resurfacing
  • Revision Hip Replacement Surgery
  • Anterior Approach Total Hip Replacement

Knee Replacement

  • Minimally Invasive Knee Replacement
  • Computer Assisted Knee Replacement
  • Revision Knee Replacement Surgery
  • Partial Knee Replacement
  • Unicompartmental Knee Replacement

Other Joint Replacement Options

  • Treatment of Hip and Knee Disorders in Young Adults
  • Adult Joint Reconstruction

Sports Medicine

SOS and Oswego Health physicians will provide orthopedic care for athletes of all levels – professional, collegiate, high school and recreational.  We provide a total care approach, including prevention, diagnosis and injury management.  

Common Sports Medicine Injuries Treated:

  • Rotator Cuff Repair
  • Repair of Torn Cartilage (meniscus) from Knee or Shoulder
  • Reconstruction for an ACL Tear
  • Removal of Inflamed Lining (synovium) in Shoulder, Elbow, Wrist, Knee and Ankle
  • Torn Ligament Repair
  • Removal of Loose Bone or Cartilage in Shoulder, Elbow, Wrist, Knee and Ankle

Foot & Ankle

At Oswego Health in collaboration with SOS, we will provide orthopedic care for any of your foot or ankle health concerns. We can offer patients services for routine foot care, like an ankle fracture or heel spurs to major surgical procedures such as an ankle replacement.


  • Ankle Replacements
  • Ankle fractures, strains, sprains and instability
  • Bunions
  • Hammer Toe
  • Rheumatoid arthritis
  • Achilles tendon tears or ruptures
  • Overuse injuries


  • Splinting, bracing or casting
  • Non-steroidal anti-inflammatory drugs or cortisone injections
  • Foot taping or padding
  • Physical therapy
  • Customized orthotics, lower extremity bracing and diabetic shoes

undefinedThis collaboration will complement the excellent skills of our orthopedic team here at Oswego Health.  We look forward to adopting SOS's protocols that have enabled them to become one of the best-known orthopedic groups in the region.
Chuck Gijanto
President & CEO, Oswego Health

undefinedThis is a great opportunity for us to offer high-quality efficient care in Oswego County.  Healthcare keeps changing and I think the future is all about collaboration and looking at the best way to provide effective care.
Mike Humphrey


Oswego Health

John Ayres, MD

undefinedDr. Ayres earned his doctor of medicine degree from New York Medical College in New York City. He completed his surgical internship at Dartmouth’s Mary Hitchcock Hospital in Hanover, N.H., and his orthopedic surgical residency at the Mayo Clinic in Rochester, MN. He is a board certified orthopedic surgeon with more than 30 years of orthopedic experience.

Daniel Birklin, PA

undefinedDan Birklin, a Central New York native, earned his physician assistant degree at LeMoyne College. In addition to his extensive physician assistant training, Birklin is well-versed in sports injuries since earning his undergraduate degree in athletic training from SUNY Cortland. After a successful career as a professional athletic trainer, he returned to college to study at LeMoyne's physician assistant program, where he specialized in orthopedics and sports medicine.

Syracuse Orthopedic Specialists (SOS)

Naven Duggal, MD


Dr. Duggal is a board-certified, fellowship-trained orthopedic surgeon specializing in the diagnosis and treatment of foot and ankle problems, as well as the correction of deformities involving the foot, ankle and knee.

Prior to joining SOS, Dr. Duggal was the Chief of the Orthopedic Foot and Ankle Service at Beth Israel Deaconess Medical Center in Boston. Dr. Duggal completed his orthopedic residency training at the University of Western Ontario, which is part of the London Health Sciences Centre, located in Canada.  

Dr. Duggal completed two orthopedic fellowship trainings at the Sydney Orthopedic Arthritis & Sports Medicine, in Sydney, Australia, and at the University of Toronto, St. Michaels Hospital, Toronto, Canada.


Nathan G. Everding, MD

undefinedDr. Nathan Everding is a fellowship trained orthopedic surgeon specializing in the diagnosis and treatment of upper extremity injuries, arthritis, tendinopathies, rotator cuff disorders, and nerve compression syndromes. In particular, his interests include shoulder and elbow joint replacement surgery.

Dr. Everding earned his medical degree from the Albert Einstein College of Medicine and completed his orthopedic residency training at Boston University’s Medical Campus. His orthopedic fellowship training in shoulder and elbow surgery wascompleted at Holy Cross Orthopedic Institute, Ft. Lauderdale, FL, while his hand and upper extremity fellowship was at the Cleveland Clinic Foundation, Metro Health Medical Center in Cleveland OH.

Seth S. Greenky, MD

undefinedDr. Greenky is a board-certified, fellowship-trained orthopedic surgeon who specializes in adult reconstruction, including total joint replacement, sports injuries and fracture care. He received his medical degree from SUNY Health Science Center at Syracuse and his bachelor’s degree from Northwestern University.

Frederick R. Lemley, MD

undefinedDr. Lemley is a board-certified, fellowship-trained orthopedic surgeon specializing in the diagnosis and treatment of foot and ankle injuries. He received his medical degree from SUNY Upstate Medical Center.

Dr. Lemley completed his residency training at West Virginia University, Morgantown WV and his orthopedic fellowship at the Orthopedic Foot and Ankle Center, Columbus, Ohio.


J. Alan Lemley, MD

undefinedDr. Alan Lemley specializes in surgery of the hand and wrist. He earned his medical degree with honors at Upstate Medical University, and his bachelor’s degree from Dartmouth College. He completed his surgical internship and wrist and hand pain residency at the West Virginia University Department of Orthopedics, where he had the distinction of being named resident teacher of the year.

Irving G. Raphael MD

undefinedDr. Irving Raphael is a board-certified orthopedic surgeon specializing in arthroscopic and ligament reconstructive surgery of the shoulder, hip, knee, and ankle. He has served as the head team physician for Syracuse University for more than 20 years and in a similar capacity at numerous area high schools.

Dr. Raphael is a graduate of Yale University Medical School in New Haven Conn., and completed his orthopedic residency training at Upstate Medical Center.

Bradley S. Raphael, MD

undefinedDr. Bradley Raphael is a board-certified, fellowship-trained orthopedic surgeon specializing in arthroscopic and ligament reconstructive surgery of the shoulder, elbow, knee, and ankle.

He is a team Physician for Syracuse University. Dr. Raphael is a graduate of Yale University School of Medicine and completed his Orthopedic residency at Hospital for Special Surgery at Cornell-Weill Medical School in New York City.

He has also completed a sports medicine fellowship at the prestigious Kerlan-Jobe Orthopedic Clinic in Los Angeles.

L. Ryan Smart, MD

undefinedDr. Smart is a board-certified, fellowship-trained orthopedic surgeon, who is extensively trained in treating adult and pediatric sports injuries, including treatment and surgical repair of injuries of the shoulder, knee, hip and elbow. 

He received his medical degree from the University of Michigan Medical School, and his bachelor’s degree from Cornell University.

I. Michael Vella, MD

undefinedCoordinating the SOS team at Oswego Health is Dr. Vella. He is a board-certified, fellowship-trained orthopedic surgeon specializing in joint replacement surgery, sports medicine and fracture care.

Dr. Vella earned his medical degree from SUNY Upstate Medical Center. He fulfilled his orthopedic residency training at Rhode Island Hospital, where he served as Assistant Resident and then Chief Resident. Dr. Vella completed his Fellowship at Harvard Medical School in adult reconstructive surgery and returned to upstate New York to practice and raise a family.

Sarah Ames, PA

undefinedSarah Ames joined SOS in 2011 and works with Dr. Cooke, assisting him both in the office and the operating room.  Prior to joining SOS, she worked as a PA at an orthopedic practice in Atlantic City, NJ. Ames earned a B.S. in Medical Studies from Kings College in Wilkes-Barre, PA, and earned her M.S. in Physician Assistant studies from Philadelphia University in 2007. She is board certified by the NCCPA and is a member of the AAPA.

Brandon Weaver, PA

undefinedBrandon Weaver, PA-C is a graduate of Rochester Institute of Technology (RIT) with a Bachelor’s of Science degree from their Physician Assistant program. He is a clinical preceptor for RIT, providing instruction in patient care, treatment and mentoring to Physician Assistant students. Brandon is a member of the American Academy of Physician Assistants.

August R. Buerkle Jr., M.D.

August R. Buerkle, Jr. MD


August R. Buerkle, Jr
Orthopedic Surgeon

522 S. 4th Street
Suite 1400
Fulton, NY 13069
Phone: 315.457.4400

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Oswego Health Orthopedics Health Services Center
110 West Sixth Street
Suite 280
Oswego, NY 13126
Phone: 315.349.5873

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